Methods of teaching medical trainees evidence‐based medicine: a systematic review

  title={Methods of teaching medical trainees evidence‐based medicine: a systematic review},
  author={Dragan Ili{\'c} and Stephen R Maloney},
  journal={Medical Education},
  pages={124 - 135}
The principles of evidence‐based medicine (EBM) provide clinicians with the ability to identify, source, appraise and integrate research evidence into medical decision making. Despite the mantra of EBM encouraging the use of evidence to inform practice, there appears little evidence available on how best to teach EBM to medical trainees. A systematic review was performed to identify what type of educational method is most effective at increasing medical trainees' competency in EBM. 

The use of journal clubs to teach evidence‐based medicine to health professionals: A systematic review and meta‐analysis

Journal clubs are an educational activity in which individuals meet to critique and discuss research articles to improve the content knowledge of health professionals.

Completeness of the reporting of evidence‐based practice educational interventions: a review

Complete reporting of intervention details in trials of evidence‐based practice (EBP) educational interventions is essential to enable clinical educators to translate research evidence about

Educating physicians in evidence based medicine: current practices and curricular strategies

  • L. Maggio
  • Psychology, Medicine
    Perspectives on medical education
  • 2016
IntroductionEvidence-based medicine (EBM) is an expectation of professional healthcare and a requisite component of medical school curricula. However, upon graduation medical students’ EBM skills

Missed opportunities in health care education evidence synthesis

These examples are not in any way meant to represent a specific set of criticisms of this work, but, rather, are intended as exemplars of wider methodological issues that currently exist within much published material on the synthesis of evidence in health care education.

Development of an Integrated Evidence-Based Medicine Curriculum Using a “Cascade” Model

This work developed a longitudinal, multimodal, evidence-based medicine curriculum for medical students using a “curriculum cascade” that allows learners to apply progressively complex knowledge and skills over time and that fosters the ongoing practice of lifelong learning.

Methods of teaching evidence-based practice: a systematic review

Current evidence highlights the lack of a single teaching modality that is superior than others regarding learner competency in EBP, regardless of health professions discipline or graduate status.

Evidence-based medicine curricula and barriers for physicians in training: a scoping review

Given the amount of time and resources needed to develop and implement an EBM curriculum, it is very important to follow the curriculum development steps and use validated assessment tools.

Thirty years of teaching evidence-based medicine: have we been getting it all wrong?

There is a call for deeper consideration of how EBM is taught, for clarification on how it is defined and operationalized in medical education, and for ways to assess both skill acquisition and use of EBM.



Evidence-Based Medicine: How to Practice and Teach It

Appraising the evidence Therapy Diagnosis and screening Prognosis Harm Evaluation Teaching EBM Appendix: Glossary Index Ready reference cards.

Teaching evidence based medicine literature searching skills to medical students during the clinical years - a protocol for a randomised controlled trial

A randomised controlled trial will be conducted to identify the effectiveness of delivering a formal workshop in EBM literature searching skills to third year medical students entering their clinical years of study.

Evidence-based medicine teaching in UK medical schools

Key elements to progress include the integration of EBM with clinical specialties, tutor training and the availability of high-quality teaching resources, and the development of a national undergraduate EBM curriculum.

Teaching evidence-based medicine literature searching skills to medical students during the clinical years: a randomized controlled trial.

Teaching and reinforcing EBM literature searching skills during both preclinical and clinical years may result in increased student confidence, which may facilitate student use of EBM skills as future clinicians.

Teaching evidence-based practice: perspectives from the undergraduate and post-graduate viewpoint.

  • D. Ilić
  • Psychology, Medicine
    Annals of the Academy of Medicine, Singapore
  • 2009
EBP competency was shown to increase regardless of whether EBP is delivered to medical students at an undergraduate or post-graduate level, and further research incorporating highlevel methodologies is required to establish a clear recommendation on the research question.

Graduate medical education training in clinical epidemiology, critical appraisal, and evidence-based medicine: a critical review of curricula.

  • M. Green
  • Medicine
    Academic medicine : journal of the Association of American Medical Colleges
  • 1999
These reports provide useful guides for medical educators, but many suffered from incomplete descriptions and inadequate evaluations of their curricula.

Is evidence‐based implementation of evidence‐based care possible?

There was a median 10% improvement across studies, suggesting that it is possible to change healthcare provider behaviour and improve quality of care, and most dissemination and implementation strategies resulted in small to moderate improvements in care.

Effect of a brief intervention on evidence-based medicine skills of pediatric residents

A brief training module designed to teach core EBM skills including formulating answerable clinical questions, searching the evidence, critical appraisal skills including validity and applicability, and understanding levels of evidence and quantitative results for therapy articles was effective.

What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review

Teaching of evidence based medicine should be moved from classrooms to clinical practice to achieve improvements in substantial outcomes.

A randomised-controlled trial of two educational modes for undergraduate evidence-based medicine learning in Asia

The evidence presented here would suggest that the teaching of EBM within an Asian environment should adopt a format that facilitates both the acquisition of knowledge and encourages enquiry.